Apply for Industrial Injuries Disablement Benefit

Industrial Injuries Disablement Benefit (IIDB) is for people who are disabled because of an accident at work or who are ill or disabled as a result of a disease or deafness caused by work.

How to use this service

Use the links below to download and complete a claim form or contact the Social Security Agency for a claim form.

Claim Online

You cannot claim Industrial Injuries Disablement Benefit online.

Download a form

Industrial Injuries Disablement Benefit forms:

• Industrial Accidents Form BI 100 A (PDF 114KB)
• Prescribed Diseases Form BI 100 B (PDF 86KB) excluding Pneumoconiosis or Byssinosis
• Chronic Bronchitis & Emphysema Form BI 100 C (PDF 89KB)
• Allergic Rhinitis Form BI 100 E (PDF 104KB)
• Occupational Asthma Form BI 100 OA (PDF 105KB)
• Occupational Deafness Form BI 100 OD (PDF 124KB)
• Pneumoconiosis Form BI 100 Pn (PDF 536KB) including silicosis, asbestosis or byssinosis
• Mesothelioma and other lung diseases form PWC 1 (PDF 691KB)
• Help with PDF files
  

You make a claim by printing out a claim form and filling it in. When you have filled in the form you can either:

• post it to the office whose details are shown on the form, or
• hand it in at your nearest Social Security / Jobs and Benefits office
• Social Security / Jobs and Benefits office (contacts section)

Important: The date the claim form is received in a Social Security Agency office is the date we can consider payment from - not the date you downloaded the claim form.

Ask for a form

You can get Industrial Injuries Disablement Benefit from the Social Security Agency.  Contact one of their offices.

• Industrial Injuries Branch (contacts section)
• Social Security / Jobs and Benefits office (contacts section)
• Benefit Shop Castle Court (contacts section)

More useful links

• Industrial Injuries Disablement Benefit (accidents) (people with disabilities section)
• Industrial Injuries Disablement Benefit (diseases and deafness) (people with disabilities section)